Physician HIV Primary Care

Department Summary

The Los Angeles LGBT Center's Department of Health Services is one of the nation's largest and most experienced providers of LGBTQ-specialized primary care and related services. Its mission to help LGBTQ people lead healthier, happier lives is supported by a comprehensive array of client-centered services including primary care, mental health, psychiatry, sexual health, pharmacy, case management, nutrition, clinical research, housing services and a food pantry. The Center is one of a handful of Federally Qualified Health Centers in the nation specializing in serving LGBTQ people.

About the Role

This physician will provide comprehensive, trauma-informed, and culturally competent medical care to LGBT individuals throughout the adult lifespan. The physician's panel of patients will reflect the diversity of the LGBT community and include individuals of all genders and expressions and with varying levels of medical and psychosocial complexity, including those living with HIV. This physician will also be expected to provide episodic care for non-panel patients as needed.

Responsibilities

• Provide comprehensive medical care to a panel of patients including primary care, chronic disease management, sexual and reproductive health care, and gender affirming services.
• Provide ongoing management to adults living with HIV including: diagnosing acute HIV infection; initiation and modification of appropriate antiretroviral therapy; prevention and treatment of acute opportunistic infections; monitoring clinical and immunological status; routine preventative health screenings unique to HIV patients.
• Conduct clinical encounters with new, return, and cross-coverage patients including taking an HPI (history of present illness); completing physical exams; documenting medical, social, family history; ordering diagnostic tests and interpreting results; developing differential diagnoses; and establishing and documenting plans of care.
• Use clinical judgment to assess the need for specialist assessment and place referrals accordingly. Conduct telephone consultations with specialists as needed. Review specialists' notes, incorporating findings and recommendations into the overall management of the patient.
• Demonstrate chart maintenance by keeping patient problem lists up-to-date and reconciling medications.
• Follow practice documentation standards regarding clinic notes and clinically relevant lab results and imaging reports.
• Complete and "sign-off" on clinical notes, lab results, refill requests, imaging reports, and consults within a timely manner.
• Respond to messages from patients and care team members in a timely manner.
• Provide evidence-based care that is in accordance with national standards and internal practice guidelines.
• Participate in peer review exercises and complete mandatory clinical trainings.
• Liaise with other members of the clinical care team including nursing, social work and mental health to optimize patient health outcomes.
• Provide cross-coverage for the other medical providers in cases of vacations, conferences, and illness, and overflow. This includes review of other providers' lab results, portal messages and medication refill requests.
• Participate in the clinic's on-call system.
• Responsible for maintenance of their own Continuing Medical Education (CME) in order to keep current with relevant Board Certification and for AAHIVM certification.
• Attend staff and other meetings as assigned.
• Other duties as assigned.

Qualifications

• Knowledge of or experience working with the LGBTQ community and familiarity with issues of particular relevance to LGBTQ people.
• A passion for the Center's work and its mission to make the world a better place for LGBTQ people.
• Excellent verbal and written communication skills, including strong organizational, detail and interpersonal skills.
• Board Certified in either Family Medicine, General Internal Medicine or Infectious Diseases.
• A valid license to practice medicine in the State of California.
• Registered by the Drug Enforcement Administration and BLS certification required.
• Commitment to providing medical care that is trauma-informed, sex and body positive, and rooted in the tenets of harm reduction.
• AAHIVM certification or ability to become AAHIVM certified within 6 months of employment.
• Strong sexual and reproductive health experience including expertise in STD diagnosis and treatment, PEP/PrEP, gender affirming hormone therapy and contraception management, preferred.
• Ability to conduct medical visits in Spanish, preferred.
• Understanding of the intersectional issues impacting LGBTQ people including the ways that racism, sexism, transphobia and income inequality impacts health access and outcomes.
• Demonstrated ability to work effectively with people of diverse races, ethnicities, nationalities, sexual orientations, gender identities, gender expression, socio-economic backgrounds, religions, ages, English-speaking abilities, immigration status, and physical abilities in a multicultural environment.

Benefits

Medical, Dental, Vision; also including Life Insurance, Long-Term Disability, Employee Assistance Program, and a 403(b) Retirement Plan.

Schedule

100%, Full-Time, Union, Exempt. Probation: 90 days.